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OL <br />AnnI�cFor 3-19-96 <br />PUBLIC WORKS PERMIT Date___ <br />PUBLIC WORKS DEPARTMENT Public Works Permit # <br />3200 Cedar Street <br />Everett, WA 982tt0``1 259-88810 JAN 22 10 Building Permit M 51129 <br />iV PUS"IN� Public Works Fee $_ — <br />TYPE OR PRINT ONLY <br />SCE Development 17606 49th PI SE Snohomish 98290 ZIP Phone <br />phone <br />Owner Mailing Address (r <br />OWr1eY Phone <br />i� <br />Describe Proposed Work new <br />JECT ADDRESS (if known) 109 73rd St SW <br />BLDG III=.50 <br />,r_ <br />Lot 5 Rid __jrk l60' <br />PRO <br />Attach four (4) copies of plans for proposed work - Draw to scale and note the following if applicable: OR PM f20.00 <br />•Pm wrty Lines 'Outline and dimensions of all existing and proposed structures on the lot •Existing and pr� ice• <br />RCenterlins of street •Indicate North •Show any proposed grading changes •Show measurements WATER 1111001:113t <br />DO NOT WRITE BELOW THIS LIWE SEWER 570.00 <br />PERMIT CONDITIONS: gym $1296.00 <br />1. All calls for Inspection shall be made 24 hours in advance - phone 259-8810. (NECK $2262.00 <br />2. All work shall be performed in accordance with this permit and current City of Everett Design and <br />Construction Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1.800-424-5555. <br />ME <br />4. Keep city streets clean at all times. <br />5. Curb gutter and sidewalk in the plat are new and undamaged, any damage theret <br />shall be replaced at the discretion of the Public Works Inspector. <br />6. Any change in the driveway cut must be approved by the Public Works Inspector <br />width at prop line limited to existing apron width <br />7. Adjust water boxes to grade at end of construction. <br />S. Driveways shall be completely cured before driving on them. <br />9. Rooftop drainage shall be discharged to the lots ag <br />Lem <br />V♦ <br />O <br />a <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applicant hereby agrees to hold and save harmless <br />the City of Everett from any and all claims for damages, costs, expenses, or <br />causes of act!on that may allse because of installation and maintenance <br />ai further ncree f <br />the Improvement or other right-of-way use hereto applied <br />to remove same upon notice from the City and to replace public property <br />damaged there / u <br />Signet "t APia��%��/ <br />ate <br />WORK AU COMPLETION. TIHES PERMIT T MAY BE CANCELLED BY THE CITYIUPON ANY STOPPAGE OF WI CRK ON THIS PROJECTTHEREAFTER <br />E R90 DAYS DURATION. <br />PURSUED TO <br />